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1669797528
JACKIE KRUCKENBERG
ORLAND PARK, IL
NPI
1669797528
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056008932)
Enumeration Date
2010-04-05
Last Update Date
2010-04-05
Business Address
-- JACKIE KRUCKENBERG OTR/L
16170 S. KINGSPORT RD.
ORLAND PARK, IL 60467-5602
Phone number: 708-326-1550
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Mailing Address
-- JACKIE KRUCKENBERG OTR/L
16170 S. KINGSPORT RD.
ORLAND PARK, IL 60467-5602
Phone number: 708-326-1550
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